Pharmaceutical consulting/advisory meetings are a different breed of meeting. MDs are paid for their opinion concerning a product and so the agenda of the meeting has absolutely no pretense of objectivity. For the same reason, the speakers don't have to be impartial at all, and can spew out just about anything that the crowd will take. Because the members are paid, they can usually take a lot. It's at these meetings that members are sometimes put in somewhat awkward spots, being pressed to express an opinion in front of their peers, and before a paying host. Rarely, however, does it get as bizarre as the invitation that I recently received from a pharma company of one of the biologics. In their invitation I was asked to fill a questionnaire about my feelings concerning the efficacy of the major biological anti-rheumatic drugs and their side effect profile. They then asked me to "find a picture from a magazine that I thought symbolized their product, and bring it to the meeting". It might have been worth going to the meeting just to see a dozen adults doing show and tell with their favorite magazine pictures. Hope somebody brought a camera.